How much rates vary
Facilitymedian $1,950 · 10th to 90th $525 to $17,378Professionalmedian $2,884 · 10th to 90th $2,399 to $5,012
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $933.25 Median $2,754.23 Typical High $7,762.47 | Facility | None | $933.25 | $2,754.23 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,570.40 | $2,754.23 | $2,754.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,288.25 Median $1,380.38 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,288.25 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $562.34 Typical High $562.34 | Professional | 53 · Discontinued | $512.86 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $2,089.30 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,905.46 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $416.87 Typical High $416.87 | Professional | 55 · Aftercare only | $380.19 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $257.04 Median $275.42 Typical High $275.42 | Professional | 56 · Pre-op care only | $257.04 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $1,949.84 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,778.28 | $1,949.84 | $1,949.84 |
BCBS Illinois Setting Facility Modifier None Typical Low $14,125.38 Median $30,199.52 Typical High $61,659.50 | Facility | None | $14,125.38 | $30,199.52 | $61,659.50 |
BCBS Illinois Setting Professional Modifier None Typical Low $3,311.31 Median $3,890.45 Typical High $5,128.61 | Professional | None | $3,311.31 | $3,890.45 | $5,128.61 |
Hally Health Setting Professional Modifier None Typical Low $2,630.27 Median $3,981.07 Typical High $15,488.17 | Professional | None | $2,630.27 | $3,981.07 | $15,488.17 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier None Typical Low $3,019.95 Median $3,388.44 Typical High $3,801.89 | Professional | None | $3,019.95 | $3,388.44 | $3,801.89 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $371.54 | Professional | None | $33.11 | $33.11 | $371.54 |
United Setting Facility Modifier None Typical Low $489.78 Median $1,258.93 Typical High $7,079.46 | Facility | None | $489.78 | $1,258.93 | $7,079.46 |
United Setting Professional Modifier None Typical Low $2,511.89 Median $2,951.21 Typical High $5,011.87 | Professional | None | $2,511.89 | $2,951.21 | $5,011.87 |
Where Illinois sits
The same service costs 7.8 times more in Colorado than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
CO $22,169TX $2,853
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.